HomeMy WebLinkAboutCOMA2023-002678V DATE OF I S S UA NCE:
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PC, RMIT #.- '-,N
BUILDING PERMIT APPLICATION
JOB ADDRESS: 2,6% Im e Mo45 Ave, amKyiu, Tixa_S, -7b051 SUITE # 100
LOT: 1A BLOCK- — `SUB DIVISION:
BUILDING CONTRACTOR (company name): -Top
CURRENT MAILINC, ADDRESS- 'TOP
CITY/STATE/ZIP: TbD PH: Fax #
PROPERTYOWNER: KA(,4?-
CURRENT MAILING ADDRESS: `2W W90 Nia&1.00
CITY/STATE/ZIP: DiC4�0, Itt;Aofg, 19OW7 PHONE NUMBLR: l2 1'
PROJECT VALUE: . "o FIRE SPRINKLERED? YES NO
WHAT TRADES WILL BE NEEDED? ELECTRIC PLUMBING MECH kNICAL
elier mvotf*,n oF porfprj—vf 4xg_ 4A41C�6;� or, f&m.
DESCRIPTION OF WORK TO BE DONE: (9 07'"If Jov r 00 r Ar LIAO aftUhk M;jl W9 ri< 4 60
USE OF BUILDING OR STRUCTURE: M 4?J1 (10l-C
iW(Ni6r: OF
NAME OF BUSINESS: N(l9 0V-#1VPfj*,&� 4 9?ine W C
eftir
Total Square. Footage under roof: Square Footage of alteration/addition:
I hereby certify that plans have been reviewed and the building will be inspected by a certified energy code inspector in accordance with
State Law. Plan review and inspection documentation shall be made available to the Building Department (required for view buildings,
M/ alterations and additions)
I hereby certify that plans have been submitted to the Texas Department of Licensing and Regulation for Accessibility Review.
4 Control Number: TAbS Z0Z'60Z(+214 (*Not required for I & 2 family dwellings)
It/ I hereby certifv that an asbestos survey hits been conducted for this structure in accordance with the regulatory requirements of the Texas
Department of Health.
(REQUIRED FOR DEMOLITIONS, ADDITIONS AND OR ALTERATION'To COMMERCIAL AND PUBLIC BUILDINGS)
I hereby certify that the foregoing is correct to the best of my knowledge and all work will be performed according to the documents approved by
the Building Department and in compliance with the City Of Grapevine Ordinance regulating construction. It is understood that the issuance of
this permit does not grant or authorize any violation of any code or ordinance of the City orCrapevinc. I FURTHERMORE UNDERSTAND
THAT PLANS AND SPECIFICATIONS ARE NOT REVIEWED FOR HANDICAPPE D ACCESSIBILIT%BYTHE CITY, AND THAT THE
DESIGN PROFESSIONAL/O%*VNER IS RESPONSIBLE FOR OBTAINING SUCH APPROVAL 'ROM THE APPROPRIATE STATE AND
OR FEDERAL AGENCY(S),
PRUNT NAME: Ti2f'j'T SIGNATURE
PHONE (1011 ) '510- 10no EMAIL: 74b0h(?A ta
BOX IF PREFERRED TO BE C ONTACTED BY E-MAIL
THE FOLLOWING IS TO BE COMPLETED BY THE BUILDING INSPECTION DEPARTMENT
1 Construction Type:
Pernift Valuation: Setbacks Approval tolssue,
Occupancy Group: Fire Sprinkle: YES v"
eNO Front-, Electrical
Division: Building Depth: Left: Plumbing
Zoning: Building Width: Rear- Mechanical
OCCLIpancy Load: 1 Grease Trap Right: Hood
% -nit Fee:
Plan Review Approval -
Date:
Building Pert
Site Plan Approval: Date- Plan Review Fee:
Fire Department: Date: Lot Drainage Fee:
Public Works De Date: Sewer Availability Rate:
Health Department.- Date: Water Availability Rate:
Approved for Permit: Date: Total Fees:
Lot 9 Draina c Submitted: Approved: Total ADiount Due:
P.Q, PDX 9161iA. GRAPEVINC.TX?6099(817j41a.3165